BLUE RIDGE REGIONAL CLINIC – NPI #1154453728
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BLUE RIDGE REGIONAL CLINIC is a provider located in PINETOP, AZ. NPPES has assigned the NPI number 1154453728 to BLUE RIDGE REGIONAL CLINIC on March 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUE RIDGE REGIONAL CLINIC” is a dba name, the actual legal business name for this organization is PINETOP MEDICAL ASSOCIATES LTD. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on May 30, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE REGIONAL CLINIC below.

NPI Profile for
PINETOP MEDICAL ASSOCIATES LTD

NPI Number
1154453728
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINETOP MEDICAL ASSOCIATES LTD
Doing Business As (dba): BLUE RIDGE REGIONAL CLINIC
Primary location
728 E WHITE MOUNTAIN BLVD
SUITE A
PINETOP, AZ 85935-7027
Phone: (928) 367-6688 Fax: (938) 367-4916
Mailing address
PO BOX 2690
PINETOP, AZ 85935-2690
Phone: (928) 367-6688 Fax: (928) 367-4916
Organization Subpart
No
Authorized Official
THOMAS PAXMAN
OWNER
Phone: (928) 367-6688
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
AZ 2577

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.